If this is the first time your child is being registered or you are a new family, there is an additional form that needs to be filled out on the left side of this page. Thank you!

Family Last Name

Mother and Father 1st Name

Street Address, City, State, Zip Code

Home Phone

Primary Email address

2nd Email

Cell #1

Cell # 2

Child's first name

Child's last name, if different

Grade in September 2018

Choose One

Sunday Morning

Grade 7/8

Confirmation

Monday Evening

2nd child's first name

2nd child's last name, if different

Grade in September 2018

Choose One

Sunday Morning

Grade 7/8

Confirmation

Monday Evening

3rd child's first name

3rd child's last name, if different

Grade in September 2018

Choose One

Sunday Morning

Grade 7/8

Confirmation

Monday Evening

4th child's first name

4th child's last name if different

Grade in September 2018

Choose One

Sunday Morning

Grade 7/8

Confirmation

Monday Evening

School District

Person other than a custodial parent who is authorized to pick up your child:

List any other information helpful for us to know: (medical, food allergies, learning, family or custodial arrangements, strategies that are helpful in classroom setting to help child learn). Please indicate if none.